Aims and method Death of patients by suicide can have powerful effects on psychiatrists. We report the findings of a survey completed by 174 psychiatrists on the effects of patient suicide on their emotional well-being and clinical practice, and the support and resources they felt would be helpful. Results and clinical implications The death of a patient by suicide usually had a major effect on respondents. Clinical practice was often negatively affected, and over a quarter of respondents considered a change of career path as a result. There were some gender differences in responses, with women reporting more sense of responsibility for the deaths and a greater effect on their clinical confidence. Desired support included a senior suicide lead clinician, support during formal post-suicide processes, opportunity for reflection on practice, information about resources to support families and help communicating with families and friends of the deceased. https://www.cambridge.org/core/journals/bjpsych-bulletin/article/effects-of-patient-suicide-on-psychiatrists-survey-of-experiences-and-support-required/96DDE04D9A4D6DC916E4588E8F6D4952. This paper has an altimeter score of 164 putting it into the top 98% of research outputs.